NPI | 1396093365 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH M GREER Co Owner 352-476-4879 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2510462) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3075592) |
Enumeration Date | 2012-08-26 |
Last Update Date | 2012-08-26 |